| NPI | 1295893626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OK 8427) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 27782) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2024-02-22 |